| Regimental number | 1357 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Carter |
| Address | 16 Symes-street, Valley, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. Elizabeth Lacey, 16 Symes-street, Valley, Brisbane, Queensland |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Fate | No details of fate entered on Nominal Roll |
